Provider Demographics
NPI:1013950773
Name:RUMREICH, JUDITH MAE (PHD)
Entity Type:Individual
Prefix:DR
First Name:JUDITH
Middle Name:MAE
Last Name:RUMREICH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3044 S. BUCHANAN ST.
Mailing Address - Street 2:#A1
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22206-1525
Mailing Address - Country:US
Mailing Address - Phone:703-379-6497
Mailing Address - Fax:
Practice Address - Street 1:1500 KING ST
Practice Address - Street 2:302
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2730
Practice Address - Country:US
Practice Address - Phone:703-684-9215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA995103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical